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Mickey M. Karram, MD

Volunteer Professor

Fellowship Program Director for Female Pelvic Medicine and Reconstructive Surgery at The Christ Hospital

Obstetrics & Gynecology | College of Medicine

Education/Credentials
  • Fellowship: University of California (Urogynecology and Reconstructive Surgery)
  • Residency: Good Samaritan Hospital (Obstetrics and Gynecology)
  • Medical Degree: University of Cairo Faculty of Medicine
  • Bachelor's Degree: University of Cairo Faculty of Medicine
Contact Information
Research Interests

Female Pelvic Medicine and Reconstructive Surgery, Pelvic Floor Disorders, Urinary and Defactory Dysfunction, Pelvic Organ Prolapse, Sexual Dysfunction

Peer Reviewed Publications

Abbott, Sara; Unger, Cecile A; Evans, Janelle M; Jallad, Karl; Mishra, Kevita; Karram, Mickey M; Iglesia, Cheryl B; Rardin, Charles R; Barber, Matthew D 2014. Evaluation and management of complications from synthetic mesh after pelvic reconstructive surgery: a multicenter study. American journal of obstetrics and gynecology, 210 2, 163.e1-8

Kleeman, Steven D; Karram, Mickey M 2011. The tension-free vaginal tape procedure. The Urologic clinics of North America, 38 1, 39-45, vi

Siddighi, Sam; Yandell, Paul M; Karram, Mickey M 2011. Delayed presentation of complete ureteral obstruction deligated transvaginally. International urogynecology journal, 22 2, 251-3

Vaccaro, Christine M; Herfel, Chuck; Karram, Mickey M; Pauls, Rachel N 2011. Sexual function in a woman with congenital bladder exstrophy and multiple pelvic reconstructive surgeries: a case report. The journal of sexual medicine, 8 2, 617-21

Dmochowski, Roger R; Blaivas, Jerry M; Gormley, E Ann; Juma, Saad; Karram, Mickey M; Lightner, Deborah J; Luber, Karl M; Rovner, Eric S; Staskin, David R; Winters, J Christian; Appell, Rodney A ; Whetter, Linda E 2010. Update of AUA guideline on the surgical management of female stress urinary incontinence. The Journal of urology, 183 5, 1906-14

Frick, Anna C; Ridgeway, Beri; Ellerkmann, Mark; Karram, Mickey M; Paraiso, Marie Fidela; Walters, Mark D; Barber, Matthew D 2010. Comparison of responsiveness of validated outcome measures after surgery for stress urinary incontinence. The Journal of urology, 184 5, 2013-7

Karram, Mickey M; Chapple, Christopher R 2010. A landmark in cooperation. International urogynecology journal, 21 1, 1

Filipkowski, Lisa A; Barker, Matthew A; Karram, Mickey M 2009. Primary genitourinary melanoma presenting as voiding dysfunction. International urogynecology journal and pelvic floor dysfunction, 20 9, 1141-3

Karram, Mickey M; Gebhart, John B 2009. New frontiers in pelvic floor surgery: avoiding and managing the iatrogenically induced foreshortened, constricted, or painful vagina. International urogynecology journal and pelvic floor dysfunction, 20 11, 1283-4

Karram, Mickey M; Toglia, Marc R; Serels, Scott R; Andoh, Masakazu; Fakhoury, Allam; Forero-Schwanhaeuser, Sergio 2009. Treatment with solifenacin increases warning time and improves symptoms of overactive bladder: results from VENUS, a randomized, double-blind, placebo-controlled trial. Urology, 73 1, 14-8

Toglia, Marc R; Serels, Scott R; Laramée, Christine; Karram, Mickey M; Nandy, Indrani M; Andoh, Masakazu; Seifeldin, Raafat; Forero-Schwanhaeuser, Sergio 2009. Solifenacin for overactive bladder: patient-reported outcomes from a large placebo-controlled trial. Postgraduate medicine, 121 5, 151-8

Barber, Matthew D; Kleeman, Steven; Karram, Mickey M; Paraiso, Marie Fidela R; Ellerkmann, Mark; Vasavada, Sandip; Walters, Mark D 2008. Risk factors associated with failure 1 year after retropubic or transobturator midurethral slings. American journal of obstetrics and gynecology, 199 6, 666.e1-7

Barber, Matthew D; Kleeman, Steven; Karram, Mickey M; Paraiso, Marie Fidela R; Walters, Mark D; Vasavada, Sandip; Ellerkmann, Mark 2008. Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstetrics and gynecology, 111 3, 611-21

Chen, Chi Chiung Grace; Rooney, Christopher M; Paraiso, Marie Fidela R; Kleeman, Steven D; Walters, Mark D; Karram, Mickey M; Barber, Matthew D 2008. Leak point pressure does not correlate with incontinence severity or bother in women undergoing surgery for urodynamic stress incontinence. International urogynecology journal and pelvic floor dysfunction, 19 9, 1193-8

Karram, Mickey M 2008. The future of surgical training in the field of urogynecology and female pelvic floor surgery. International urogynecology journal and pelvic floor dysfunction, 19 12, 1591

Pauls, Rachel N; Occhino, John A; Dryfhout, Vicki; Karram, Mickey M 2008. Effects of pregnancy on pelvic floor dysfunction and body image; a prospective study. International urogynecology journal and pelvic floor dysfunction, 19 11, 1495-501

Siddighi, Sam; Barker, Matthew; Pancholy, Apurva; Krallman, Kelli; Karram, Mickey M; Kleeman, Steven 2008. Attitudes and perceptions regarding subspecialty training in female pelvic medicine and reconstructive surgery. International urogynecology journal and pelvic floor dysfunction, 19 11, 1523-6

Pauls, Rachel N; Marinkovic, Serge P; Silva, W Andre; Rooney, Christopher M; Kleeman, Steven D; Karram, Mickey M 2007. Effects of sacral neuromodulation on female sexual function. International urogynecology journal and pelvic floor dysfunction, 18 4, 391-5

Pauls, Rachel N; Silva, W Andre; Rooney, Christopher M; Siddighi, Sam; Kleeman, Steven D; Dryfhout, Vicki; Karram, Mickey M 2007. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. American journal of obstetrics and gynecology, 197 6, 622.e1-7

Pauls, Rachel N; Silva, W Andre; Rooney, Christopher M; Siddighi, Sam; Kleeman, Steven D; Dryfhout, Vicki; Karram, Mickey M 2007. Sexual function following anal sphincteroplasty for fecal incontinence. American journal of obstetrics and gynecology, 197 6, 618.e1-6

Siddighi, Sam; Karram, Mickey M 2007. Surgical and nonsurgical approaches to treat voiding dysfunction following antiincontinence surgery. Current opinion in obstetrics & gynecology, 19 5, 490-5

Siddighi, Sam; Kleeman, Steven D; Baggish, Michael S; Rooney, Christopher M; Pauls, Rachel N; Karram, Mickey M 2007. Effects of an educational workshop on performance of fourth-degree perineal laceration repair. Obstetrics and gynecology, 109 2 Pt 1, 289-94

Karram, Mickey M 2006. Current and future challenges facing academic medicine. International urogynecology journal and pelvic floor dysfunction, 17 3, 203

Pauls, Rachel N; Segal, Jeffrey L; Silva, W Andre; Kleeman, Steven D; Karram, Mickey M 2006. Sexual function in patients presenting to a urogynecology practice. International urogynecology journal and pelvic floor dysfunction, 17 6, 576-80

Segal, Jeffrey L; Vassallo, Brett J; Kleeman, Steven D; Hungler, Melanie; Karram, Mickey M 2006. The efficacy of the tension-free vaginal tape in the treatment of five subtypes of stress urinary incontinence. International urogynecology journal and pelvic floor dysfunction, 17 2, 120-4

Silva, W Andre; Pauls, Rachel N; Segal, Jeffrey L; Rooney, Christopher M; Kleeman, Steven D; Karram, Mickey M 2006. Uterosacral ligament vault suspension: five-year outcomes. Obstetrics and gynecology, 108 2, 255-63

Kleeman, Steven D; Westermann, Cynthia; Karram, Mickey M 2005. Rectoceles and the anatomy of the posteriorvaginal wall: revisited. American journal of obstetrics and gynecology, 193 6, 2050-5

Pauls, Rachel N; Kleeman, Steven D; Karram, Mickey M 2005. Female sexual dysfunction: principles of diagnosis and therapy. Obstetrical & gynecological survey, 60 3, 196-205

Rooney, Christopher M; Crawford, Adam T; Vassallo, Brett J; Kleeman, Steven D; Karram, Mickey M 2005. Is previous cesarean section a risk for incidental cystotomy at the time of hysterectomy? A case-controlled study. American journal of obstetrics and gynecology, 193 6, 2041-4

Silva, William Andre; Karram, Mickey M 2005. Scientific basis for use of grafts during vaginal reconstructive procedures. Current opinion in obstetrics & gynecology, 17 5, 519-29

Paraiso, Marie Fidela R; Walters, Mark D; Karram, Mickey M; Barber, Matthew D 2004. Laparoscopic Burch colposuspension versus tension-free vaginal tape: a randomized trial. Obstetrics and gynecology, 104 6, 1249-58

Segal, Jeffrey L; Silva, W Andre; Pauls, Rachel N; Kleeman, Steven D; Mutema, George K; Karram, Mickey M 2004. Transection of a colonic diverticulum during enterocele repair. BJOG : an international journal of obstetrics and gynaecology, 111 12, 1485-6

Segal, Jeffrey L; Vassallo, Brett; Kleeman, Steven; Silva, W Andre; Karram, Mickey M 2004. Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstetrics and gynecology, 104 6, 1263-9

Silva, W Andre; Kleeman, Steven; Segal, Jeffrey; Pauls, Rachel; Woods, Scott E; Karram, Mickey M 2004. Effects of a full bladder and patient positioning on pelvic organ prolapse assessment. Obstetrics and gynecology, 104 1, 37-41

Karram, Mickey M; Segal, Jeffery L; Vassallo, Brett J; Kleeman, Steven D 2003. Complications and untoward effects of the tension-free vaginal tape procedure. Obstetrics and gynecology, 101 5 Pt 1, 929-32

Vassallo, Brett J; Karram, Mickey M 2003. Management of iatrogenic vaginal constriction. Obstetrics and gynecology, 102 3, 512-20

Vassallo, Brett J; Kleeman, Steven D; Segal, Jeffrey; Karram, Mickey M 2003. Urethral erosion of a tension-free vaginal tape. Obstetrics and gynecology, 101 5 Pt 2, 1055-8

Kleeman, Steven D; Vasallo, Brett; Segal, Jeffery; Karram, Mickey M 2002. Vesicocervical fistula following insertion of a modified McDonald suture. BJOG : an international journal of obstetrics and gynaecology, 109 12, 1408-9

Segal, Jeffrey L; Karram, Mickey M 2002. Evaluation and management of rectoceles. Current opinion in urology, 12 4, 345-52

Vassallo, Brett J; Kleeman, Steven D; Segal, Jeffrey L; Walsh, Peggy; Karram, Mickey M 2002. Tension-free vaginal tape: a quality-of-life assessment. Obstetrics and gynecology, 100 3, 518-24

Evans, Janelle M; South, Mary M; Karram, Mickey M . Vesicovaginal fistula due to remote history of vaginal foreign body. Female pelvic medicine & reconstructive surgery, 18 6, 374-5

Evans, Janelle Morgan; Karram, Mickey M; Mahdy, Ayman; Robertshaw, Daniel . Urinary tract injury at the time of laparoscopic and robotic surgery: presentation and management. Female pelvic medicine & reconstructive surgery, 19 4, 249-52

Karram, Mickey M . Women's Health Initiative data--what were the real conclusions and how will these studies impact the pelvic floor? International urogynecology journal and pelvic floor dysfunction, 16 1, 1-2

Karram, Mickey M . What is the clinical relevance of a paravaginal defect? International urogynecology journal and pelvic floor dysfunction, 15 1, 1-2

Pauls, Rachel N; Kleeman, Steven D; Segal, Jeffrey L; Silva, W Andre; Goldenhar, Linda M; Karram, Mickey M . Practice patterns of physician members of the American Urogynecologic Society regarding female sexual dysfunction: results of a national survey. International urogynecology journal and pelvic floor dysfunction, 16 6, 460-7

Segal, Jeffrey L; Vassallo, Brett J; Kleeman, Steven D; Silva, William A; Karram, Mickey M . Paravaginal defects: prevalence and accuracy of preoperative detection. International urogynecology journal and pelvic floor dysfunction, 15 6, 378-83; discussion 3

Shull, Bob; Karram, Mickey M . Concerns regarding pelvic reconstructive surgery. International urogynecology journal and pelvic floor dysfunction, 16 4, 251-2